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Conflict in critical medical situations in a multi-ethnic context is an under-researched topic.
However, we did find that minority and native parents as well as and teachers struggle with their educational tasks in the multi-ethnic context, especially with respect to the tensions, conflicts and discrimination that may arise in this context.
We believe that it is important that not only specific programs are developed, but that general programs for parental support and family interventions also enclose scientific knowledge about the specific difficulties parents can face in a multi-ethnic context.
As far as we know, this is the first study where conflicts in a multi-ethnic context in the ICU were investigated by means of an ethnographic research design.
While the uniquely multi-ethnic context made it possible to recruit the diverse sample for this study, it may have ameliorated effects of some of the racial discrimination these participants experienced.
Moreover, in current teacher education and social work training-programs, little attention is given to the fact that a significant number of families come from other regions of the world, or face the challenge to raise their children in a multi-ethnic context (e.g. Pels 2010).
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Our strategy explores cross-cultural similarities, differences, and overlap in a multi-ethnic rural North Carolina context through simple techniques such as mapping social networks and sites in which people share their knowledge and beliefs about diabetes.
This might further complicate end-of-life decision making in a multi-ethnic critical care context.
Consequently, the role of ethno-cultural differences must not be overstated in staff-family conflict in a multi-ethnic critical care context.
Developing and implementing organizational measures which allow maximal collaborative communication both within the ICU team and between relatives and staff in every care phase is crucial to prevent conflicts between staff and relatives in a multi-ethnic critical care context.
A study design of this kind is one of the most appropriate ways to gain nuanced and deep insight into complex situations such as conflicts in a multi-ethnic critical care context.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com